Early identification of uterine cleft for timely treatment

Uterine or cervical opening is one of the causes of miscarriage and preterm birth. Therefore, it is extremely important to learn more about this issue .

What is the cervix?

The cervix is ​​a narrow tubular structure in the lower part of the uterus that extends out into the vagina. When you're not pregnant, the cervix (cervical canal) opens slightly so that sperm can move into the uterus and menstrual blood flows out. When you are pregnant, the mucus in your cervix forms an internal protective barrier called the cervical mucus node.

During pregnancy, your cervix will become hard, long, and close until the end of your third trimester. When you are about to go into labor, your cervix becomes soft and expands so that the baby can come out easily.

What is dysentery?

Cervical dysplasia, also known as cervical defect, is a disease that occurs when weak cervical tissue causes or promotes premature birth or  miscarriage .

Before  pregnancy , the cervix - the lower part of the uterus that connects to the vagina - often tightly closes. As pregnancy develops and approaches the date of birth, the cervix gradually softens, shrinks, and opens (dilates). If you have a cervical defect, the cervix opens sooner and you can give birth earlier than expected.

A defective cervical condition can be difficult to diagnose and treat. If your cervix begins to open early, or you have a history of uterine cleft palate, your doctor may recommend preventive medication during  pregnancy , routine ultrasound or a cervical suture procedure. bow.

What are the symptoms and signs of uterine cleft palate?

Unfortunately, if you have this, you won't notice any signs or symptoms when your cervix begins to open early in pregnancy. Symptoms can be mild discomfort that begins between 14 and 20 weeks of pregnancy, or a discharge of vaginal discharge. Stay tuned if you have:

A feeling of tension in the pelvic area

Certified  back pain  appear

A few mild mounds

Change in vaginal fluid properties;

 Little vaginal bleeding .

When do you need to see a doctor?

Early diagnosis and treatment can prevent worsening and serious conditions, so talk with your doctor as soon as possible to prevent this serious condition.

If you have any of the above signs or symptoms or have any questions, please consult your doctor. Each person's location is different. So consult your doctor to choose the most appropriate option.

What causes the uterine waistline?

It can occur due to a functional defect of the cervix, which can be due to an anatomic abnormality (a Müllerian birth defect), a short cervix, exposure to diethylstilbestrol (DES) or a collagen disorder (congestion). the Ehlers-Danlos). In addition, the causes of uterine cleft palate include postnatal cervical damage or miscarriage, uterine cleft palate due to damage during gynecological procedures and surgical removal of part of the cervix.

Who often get uterine cleft?

The condition is relatively rare, occurring in only 1-2% of all  pregnancies , but can cause an estimated 20-25% risk of miscarriage in the  second  trimester.

However, you can reduce the risk factors. Please discuss with your doctor for more information.

What factors increase the risk of an open uterus?

You are at high risk for this condition if you have the following factors:

Congenital abnormality. Abnormalities of the uterus and genetic disorders that affect  collagen  can cause a defect in the cervix. Exposure to diethylstilbestrol (DES), a synthetic form of the hormone  estrogen , has also been linked before birth;

Injury to the cervix. If your cervix is ​​torn during previous labor and delivery, you may have an open-waist uterus. Cervical injury procedures, for example, caused by  an abnormal Pap test  , may cause an opening of the uterus;

Angioplasty and curettage. This procedure is used to diagnose or treat various uterine conditions, such as uterine bleeding or to clean the endometrium after a miscarriage or howling. This procedure can sometimes damage the cervical structure.

What medical techniques are used to diagnose open-waist uterine disease?

If your doctor suspects you may have this, a physical exam will be done and some other tests will also be recommended by the doctor. Your doctor will check for congenital problems or a tear in the cervix that could cause an open uterus. The doctor will also check for contractions and if necessary, they will monitor them.

These probes may include:

Ultrasound through vaginal fall. Your doctor will perform a transvaginal ultrasound to assess the length of the cervix, and check if the amniotic membranes have come out of the cervix. In this type of ultrasound, a slender probe is placed in the vagina to emit sound waves and collect reflected images of the cervix and lower part of the uterus on a screen;

Vaginal examination. Your doctor will examine your cervix to check for amniocentesis through the opening of the cervix. If the amniotic fluid enters the vagina, it means you have an open uterus. The doctor also checks for contractions and can measure contractions if necessary.

Amniotic fluid test. If you have amniocentesis and the ultrasound shows signs of inflammation but you have no symptoms of infection, your doctor may perform amniocentesis and send tests to diagnose or rule out an amniotic infection.

There are no such tests before pregnancy that can predict an open uterus. However, some diagnostic means, such as  MRI  or  ultrasound,  can identify uterine abnormalities to assess the risk of an open uterus.

What methods are used to treat open-waist uterine disease?

Some of the treatments for open-waist uterus may include:

Take progesterone supplements  . If you have a history of preterm birth, your doctor may recommend weekly injections of a form of the hormone progesterone called hydroxyprogesterone caproate (Makena®) during the 2nd and 3rd trimesters of pregnancy. However, more research is needed to determine the best use of progesterone in the treatment of a cleft palate. Currently, progesterone therapy does not appear to be beneficial for twins or more pregnancies;

Regular ultrasound. If you have a history of early miscarriage or cervical damage in previous births, your doctor may need to carefully monitor the length of your cervix by giving an ultrasound every two weeks from week 16 to 24 weeks of pregnancy. If your cervix starts to open or becomes shorter, your doctor may recommend stitching the cervix;

Stitch the cervix. If you are less than 24 weeks pregnant or have a history of premature birth and ultrasound shows that your cervix is ​​open, a procedure called cervical suture can help prevent preterm birth. During this procedure, the cervix is ​​stitched with strong sutures. The suture thread is cut during the last month of pregnancy or during labor. Sometimes cervical stitching can be done earlier at 14 weeks, while the cervix is ​​still closed, if you have a history of preterm birth due to a cleft uterus.

Cervical lifting ring. Your doctor may also use an instrument placed in your vagina to hold the uterus called a Pessary, which can help reduce the pressure the fetus puts on to the cervix. However, more research is needed to conclude that the Pessary ring is sufficiently effective in the treatment of a cleft palate.

A few questions related to cervical sewing

1. If I have had a colposcopic procedure before, will my next pregnancy need another stitching?

If you have had a cervical stitch in your previous pregnancy, your doctor will monitor the cervical condition with an ultrasound to make sure you don't need to have another suture procedure.

2. Can I get pregnant if I have had my uterus stitched through the abdominal wall?

You can still get pregnant normally as the uterine ring stitching through the abdominal wall is likely to continue to help keep the cervix in later pregnancies.

Which living habits help you to limit the progression of open-waist uterine disease, avoid the risk of preterm birth?

You can limit the progression of preterm birth due to an open uterus by taking the following measures:

Restricting sexual intercourse or limiting certain physical activities;

In some cases, your doctor may recommend bed rest.

If you have any questions, please consult your doctor for advice on the best treatment support method.